Talent.com
Program Manager, Healthcare Services - Clinical Systems

Program Manager, Healthcare Services - Clinical Systems

Molina HealthcareBeavercreek, OH, United States
6 hours ago
Job type
  • Full-time
Job description

Job Summary

Provides subject matter expertise and leadership to healthcare services function - providing support for project / program / process design, execution, evaluation and support, and ensuring compliance with regulatory and internal standards, practices, policies and contractual commitments. Contributes to overarching strategy to provide quality and cost-effective member care.

Essential Job Duties

  • Collaboratively plans and executes internal healthcare services projects and programs involving department or cross-functional teams of subject matter experts - delivering products from the design process to completion.
  • Provides ongoing communication related to program goals, evaluation and support to ensure compliance with standardized protocols and processes.
  • May engage and oversee the work of external vendors.
  • Focuses on process improvement, organizational change management, program management and other processes relative to business needs.
  • Serves as a subject matter expert and leads healthcare services programs to meet critical needs.
  • Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements.
  • Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality initiatives within the department as appropriate.
  • Creates business requirements documents (BRDs), test plans, requirements traceability matrix (RTMs), user training materials and other related business documents.

Required Qualifications

  • At least 5 years of health care experience, including experience in clinical operations, and at least 3 or more years in one or more of the following areas : utilization management, care management, care transitions, behavioral health, or equivalent combination of relevant education and experience.
  • Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC) or Licensed Marriage and Family Therapist (LMFT). Clinical licensure and / or certification required ONLY if required by state contract, regulation or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
  • Strong analytical and problem-solving skills.
  • Strong organizational and time-management skills.
  • Ability to work in a cross-functional, professional environment.
  • Experience working within applicable state, federal, and third-party regulations.
  • Strong verbal and written communication skills.
  • Microsoft Office suite / applicable software program proficiency, and ability to navigate online portals and databases.
  • Preferred Qualifications

  • Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM),  Certified Professional in Healthcare Quality (CPHQ), or other health care or management certification.
  • Leadership experience.
  • Medicaid / Medicare population experience.
  • Six sigma certification
  • Experience with Agile Methodology
  • Experience with Epic
  • To all current Molina employees : If you are interested in applying for this position, please apply through the Internal Job Board.

    Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M / F / D / V

    Pay Range : $77,969 - $171,058 / ANNUAL

  • Actual compensation may vary from posting based on geographic location, work experience, education and / or skill level.
  • Create a job alert for this search

    Clinical Program Manager • Beavercreek, OH, United States

    Related jobs
    • Promoted
    Mission Systems Program Manager

    Mission Systems Program Manager

    Clearance JobsDayton, OH, US
    Full-time
    Mission Systems Program Manager.The Mission Systems Program Manager provides strategic leadership for the development, integration, and deployment of cutting-edge mission systems supporting Departm...Show moreLast updated: 30+ days ago
    • Promoted
    Program Manager (Technical)

    Program Manager (Technical)

    Clearance JobsDayton, OH, US
    Full-time
    Program Manager Opportunity At Riverside Research.Riverside Research is an independent National Security Nonprofit dedicated to research and development in the national interest.We provide high-end...Show moreLast updated: 30+ days ago
    • Promoted
    Program Manager 3

    Program Manager 3

    Clearance JobsDayton, OH, US
    Full-time
    At Northrop Grumman, our employees have incredible opportunities to work on revolutionary systems that impact people's lives around the world today, and for generations to come.Our pioneering and i...Show moreLast updated: 3 days ago
    • Promoted
    Certified Occupational Therapy Assistant (COTA)

    Certified Occupational Therapy Assistant (COTA)

    LiveWell PartnersNew Carlisle, OH, US
    Full-time
    Certified Occupational Therapy Assistant (COTA) - in Parts of Miami, Clark, and Northern Montgomery Counties.Compensation : $45 per visit, processed bi-weekly. Supportive & Positive Culture.We ar...Show moreLast updated: 3 days ago
    • Promoted
    Child Mental Health Therapist - Outpatient - (LISW, LPCC, IMFT)

    Child Mental Health Therapist - Outpatient - (LISW, LPCC, IMFT)

    LifeStance HealthSouth Solon, OH, US
    Full-time
    At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives...Show moreLast updated: 30+ days ago
    • Promoted
    State Tested Nursing Assistant (STNA)

    State Tested Nursing Assistant (STNA)

    The Laurels of BlanchesterBLANCHESTER, Ohio, United States
    Full-time
    The Laurels of Blanchester is looking for Day Shift 6A-6P .Want to make a difference in someone’s life?.If you have patience, empathy and a true desire to care for those in need, you will love work...Show moreLast updated: 30+ days ago
    • Promoted
    Physical Therapist (PT)

    Physical Therapist (PT)

    Wilmington Nursing & Rehabilitation CenterWilmington, OH, US
    Full-time +1
    Empower healing and restore independence-join our compassionate therapy team in a skilled nursing facility and make a meaningful impact in the lives of residents every step of the way!.On Demand Pa...Show moreLast updated: 9 days ago
    • Promoted
    Mental Health Therapist - Outpatient - (LISW, LPCC, IMFT)

    Mental Health Therapist - Outpatient - (LISW, LPCC, IMFT)

    LifeStance HealthSouth Charleston, OH, US
    Full-time
    At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Nurse RN - Progressive Care Unit - $1,720 to $1,873 per week in Springfield, OH

    Travel Nurse RN - Progressive Care Unit - $1,720 to $1,873 per week in Springfield, OH

    TravelNurseSourceSpringfield, OH, US
    Full-time
    TravelNurseSource is working with Host Healthcare to find a qualified PCU RN in Springfield, Ohio, 45504!.Host Healthcare is an award-winning travel healthcare company with an immediate opening for...Show moreLast updated: 4 days ago
    • Promoted
    Healthcare Project Manager- Dayton OH

    Healthcare Project Manager- Dayton OH

    StaffingDayton, OH, US
    Full-time
    Key Note : Healthcare Project Manager with Medicaid & Medicare implementation or experience with clinical & markets).Manage large to medium-scale or low to medium to high complexity projects within ...Show moreLast updated: 30+ days ago
    • Promoted
    Program Manager

    Program Manager

    CareSourceDayton, OH, US
    Full-time
    The Program Manager is responsible for managing large-scale portfolio programs aligned to strategic objectives that include multiple projects. Responsible for successful delivery of program.Ensure p...Show moreLast updated: 16 days ago
    • Promoted
    Registered Nurse (RN)

    Registered Nurse (RN)

    The Laurels of MilfordBLANCHESTER, Ohio, United States
    Full-time
    Do you work for Agency? Are you Tired of inconsistent Schedules and last minute Cancellations? Come Join our Team at the Laurels of Milford where you can pick up any additional hours you desire.Are...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    Program Manager, Healthcare Services - Clinical Systems

    Program Manager, Healthcare Services - Clinical Systems

    Molina HealthcareDayton, OH, United States
    Full-time
    Provides subject matter expertise and leadership to healthcare services function - providing support for project / program / process design, execution, evaluation and support, and ensuring compliance w...Show moreLast updated: 6 hours ago
    • Promoted
    • New!
    Healthcare Transformation Manager

    Healthcare Transformation Manager

    VirtualVocationsDayton, Ohio, United States
    Full-time
    A company is looking for a Manager, Healthcare Transformation.Key Responsibilities Lead initiatives to transform healthcare delivery systems Collaborate with stakeholders to identify and impleme...Show moreLast updated: 21 hours ago
    • Promoted
    Residential Disabilities Program Manager

    Residential Disabilities Program Manager

    ViaQuestDayton, OH, US
    Full-time
    At ViaQuest Residential Services we provide quality support and services to individuals with developmental disabilities in their homes. Apply today and make a difference in the lives of the individu...Show moreLast updated: 11 days ago
    • Promoted
    Program Manager (Technical)

    Program Manager (Technical)

    Riverside ResearchDayton, OH, US
    Full-time
    Riverside Research is seeking a dynamic, strategic, operational, and growth focused Program Manager focused on providing innovative solutions to the Defense and Intelligence Communities.We have an ...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Nurse RN - PCU - Progressive Care Unit

    Travel Nurse RN - PCU - Progressive Care Unit

    CrossMedSpringfield, OH, US
    Full-time
    CrossMed is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Springfield, Ohio.Job Description & Requirements. At CrossMed Healthcare Staffing, we aim to create ...Show moreLast updated: 30+ days ago
    • Promoted
    Manager, CAHPS

    Manager, CAHPS

    CareSourceDayton, OH, US
    Full-time
    The Manager, CAHPS (Consumer Assessment of Healthcare Providers and Systems) is responsible for leading and managing all aspects of the CAHPS initiatives within CareSource, overseeing CAHPS vendors...Show moreLast updated: 4 days ago
    • Promoted
    Travel Nurse RN - Labor and Delivery

    Travel Nurse RN - Labor and Delivery

    Healthcare SupportSpringfield, OH, US
    Permanent
    Healthcare Support is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Springfield, Ohio.Job Description & Requirements. Healthcare Support Job ID #473669.Pay package is ...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Nurse RN - Electrophysiology Lab

    Travel Nurse RN - Electrophysiology Lab

    Host HealthcareSpringfield, OH, US
    Full-time
    Host Healthcare is seeking a travel nurse RN Electrophysiology Lab for a travel nursing job in Springfield, Ohio.Job Description & Requirements. Pay package is based on 12 hour shifts and 36 hou...Show moreLast updated: 30+ days ago